AUTAUGA STATION DENTAL
NPI 1275429383
Clinic/Center - Dental in Prattville, AL
About Autauga Station Dental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTAUGA STATION DENTAL (NPI 1275429383) is a healthcare organization registered as a dental in Prattville, Alabama and active in the NPI registry since June 2025. The organization lists Zackery Ethan Eades, Doctor/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Autauga Station Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Autauga Station Dental, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Autauga Station Dental's NPI number?
The NPI number for Autauga Station Dental is 1275429383. It was assigned to this organization in the NPPES registry on June 16, 2025.
Where is Autauga Station Dental located?
Autauga Station Dental is located at 1803 Station Dr Ste A, Prattville, AL 36066. The listed phone number is (334) 361-9880.
What is Autauga Station Dental's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Autauga Station Dental enrolled in Medicare?
Yes. Autauga Station Dental is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Autauga Station Dental?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Autauga Station Dental. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Autauga Station Dental was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Autauga Station Dental · NPI 1275429383
Dental organization in Prattville, Alabama. Organization record, active in the CMS NPPES registry since June 16, 2025.
## Identity
- **NPI:** 1275429383 (Entity type: Organization)
- **Enumerated:** June 16, 2025
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Autauga Station Dental (Other Name)
- **Organization subpart:** No
- **Authorized official:** Zackery Eades, DOCTOR/OWNER
## Practice location
- **Address:** 1803 STATION DR STE A, Prattville, AL 36066-5671
- **Phone:** (334) 361-9880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1275429383) · Data from the CMS NPPES public registry.